EFFECTS OF ANIMAL-ASSISTED THERAPY FOR RESPONDING TO PASSIVE BEHAVIOR IN ELDERLY NURSING HOME RESIDENTS WITH DEMENTIA: A SINGLE-SUBJECT DESIGN STUDY
Open Access
- Author:
- Soprano, Cherie Ann
- Graduate Program:
- Nursing
- Degree:
- Doctor of Philosophy
- Document Type:
- Dissertation
- Date of Defense:
- February 23, 2010
- Committee Members:
- Ann Marie Kolanowski, Dissertation Advisor/Co-Advisor
Ann Marie Kolanowski, Committee Chair/Co-Chair
Vernon Michael Chinchilli, Committee Member
Janice Lee Penrod, Committee Member
Daniel Jay Lago, Committee Member
Dr Kathleen Colling, Committee Member - Keywords:
- passive behavior
Alzheimer’s disease
animal assisted therapy
dementia - Abstract:
- Passive behavior (PB) is a behavioral disturbance that affects 61 to 88 percent of nursing home residents (NHRs) with dementia. PB in persons with dementia (PWD) often leads to such negative consequences as, social isolation, loss of physical functioning, excess disability, and further cognitive decline, which, in turn, may lead to loss of quality of life, increased morbidity and mortality, and caregiver distress. PB in PWD is often misdiagnosed as depression and treated with psychoactive medications. The black-box warning against the use of psychoactive medications in PWD warrant the need for non-pharmacological interventions aimed at better managing PB in PWD. Many studies have suggested health and social benefits may be derived from animal-assisted therapy (AAT). The specific aim of the present study was to determine if a functional relationship existed between AAT and PB in PWD. The Need-driven Dementia-compromised Behavior Model (NDB) and attachment theory (AT) were the organizing frameworks for this study. A within-subject, repeated measurements, quasi-experimental A-B1-A´-B2 design was used to measure PB. Eight subjects, who met the study’s inclusion criteria, completed 32, daily, 20-minute sessions under two conditions: dog present and dog absent. Sessions were videotaped and measures of PB were obtained from the video-recordings, using the Observational Form of Passivity in Dementia (O-PDS) scale. Pairwise t tests were performed on the adjusted mean scores of the O-PDS. Visual analyses of the graphs of O-PDS scores consistently demonstrated significantly less PB in 7 of the 8 subjects during the AAT conditions. Findings suggest that AAT can serve as a useful intervention for decreasing PB in PWD.